Elevance Health · 11 hours ago
Investigator II
Indianapolis, IN
Full-time
Hybrid
Mid Level
3+ years expElevance Health is a health company dedicated to improving lives and communities. The Investigator II is responsible for identifying, investigating, and developing cases against perpetrators of healthcare fraud to recover funds paid on fraudulent claims.
Health CareHealth InsurancePersonal HealthWellness
Responsibilities
Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims
Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan, line of business and/or state
Effectively establish rapport and on-going working relationship with law enforcement
May interface internally with Senior level management and legal department throughout investigative process
May assist in training of internal and external entities
Assists in the development of policy and/or procedures to prevent loss of company assets
Qualification
Required
Requires a BA/BS and minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background
Preferred
Fraud certification from CFE, AHFI, AAPC or coding certificates preferred
Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred
Health insurance, law enforcement experience preferred
Benefits
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Company
Elevance Health
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10001+ employees
H1B Sponsorship
Elevance Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (488)
2024 (604)
2023 (660)
2022 (222)
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-10-30IPO
Leadership Team
Gail K. Boudreaux
President and CEO
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
Recent News
2026-01-25
Company data provided by crunchbase